SUSQUEHANNA HEALTH MEDICAL GROUP
NPI 1205870904
Family Medicine in Williamsport, PA

Active since June 15, 2006
740 HIGH ST, SUITE 4001, WILLIAMSPORT, PA 17701(570) 321-2345(570) 321-2359 Get Directions Write a Review

NPPES record last updated: October 20, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Susquehanna Health Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSQUEHANNA HEALTH MEDICAL GROUP (NPI 1205870904) is a healthcare organization registered as a family medicine in Williamsport, Pennsylvania and active in the NPI registry since June 2006. The organization lists Melissa Davis, Vp/coo, as its authorized official.

NPPES Registry Identity

NPI1205870904
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSUSQUEHANNA PHYSICIAN SERVICES
Location Address740 HIGH ST, SUITE 4001Williamsport, PA 17701-3100
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Fax(570) 321-2359
Organization SubpartNo
Authorized OfficialMelissa DavisVp/coo · (570) 320-7696
Enumeration DateJune 15, 2006
Last NPPES UpdateOctober 20, 2015
NPI 1205870904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
740 HIGH ST, Williamsport, PA 17701

Other Names 1

Doing Business AsSusquehanna Health Medical Group

Other Identifiers 4

Medicaid0017300760210PA
Medicaid0017300760162PA
Medicare PINCC0890PA
Other880742PA · Highmark Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
740 HIGH ST, SUITE 1004
WILLIAMSPORT, PA 17701
Family Medicine
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Nurse Practitioner
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 17701
Family Medicine
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Neuromusculoskeletal Medicine & OMM
740 HIGH ST, SUITE 4001
WILLIAMSPORT, PA 17701
Nurse Practitioner (Women's Health)
740 HIGH ST, SUITE 1004
WILLIAMSPORT, PA 17701
Internal Medicine (Interventional Cardiology)
740 HIGH ST, SUITE 2001
WILLIAMSPORT, PA 17701
Advanced Practice Midwife
740 HIGH ST, SUITE 1004
WILLIAMSPORT, PA 17701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susquehanna Physician Services's NPI number?

The NPI number for Susquehanna Physician Services is 1205870904. It was assigned to this organization in the NPPES registry on June 15, 2006. The provider is doing business as Susquehanna Health Medical Group.

Where is Susquehanna Physician Services located?

Susquehanna Physician Services is located at 740 High St Suite 4001, Williamsport, PA 17701. The listed phone number is (570) 321-2345.

What is Susquehanna Physician Services's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Susquehanna Physician Services was last updated on October 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.